Ingabe ngezinye izikhathi uthola izinhlungu zesisu, isicanucanu, kanye nokuphelelwa yisifiso sokudla? Esikhathini esiningi, asizinaki kakhulu lezi zinto, sicabanga ukuthi zivamile, noma mhlawumbe zinobuthi bokudla. Kodwa akuvamile kakhulu, lezi zimpawu ezincane zingaba uphawu lwesimo esibi emathunjini ethu. Namuhla, sizokhuluma ngohlobo lomdlavuza olungavamile kakhulu okufanele wonke umuntu aluqaphele. Lowo umdlavuza we-duodenal, noma "umdlavuza we-duodenal".
Uyini umdlavuza we-Duodenal?
Kalula nje, lo mdlavuza uvela emathunjini ethu amancane. Esimiso sethu sokugaya ukudla, ukudla kuhamba kusuka esiswini kuya emathunjini amancane. Ingxenye yokuqala yalesi sithumbu esincane ibizwa ngokuthi i- duodenum . Ngokuqondile, i-duodenum yindawo eyinhloko lapho ukudla okuvela esiswini kuhlangana khona nama-enzyme ahlukahlukene akhiqizwa umzimba wethu, njenge-bile, ukuqala inqubo yokugaya ukudla.
Umdlavuza we-Duodenal uyisimo esingavamile kakhulu. Ngokuvamile, uma sikhuluma ngomdlavuza wesisu, sivame ukuzwa ngomdlavuza owenzeka emathunjini, esiswini, kanye nakuma-pancreas. Kubalulekile ukuqaphela lesi simo ngoba singasakazeka ngokushesha okukhulu.
Yiziphi izimbangela kanye nezici eziyingozi zokuthuthukisa lo mdlavuza?
Odokotela abakayazi imbangela eqondile yalo mdlavuza, kodwa njengezinye izinhlobo zomdlavuza, kukholakala ukuthi izinguquko ezithile ezakhiweni zofuzo zamaseli omzimba (ukuguqulwa kwezakhi zofuzo) zingabangela ukuthi lawo maseli akhule ngokungalawuleki, okuholela ekwakhekeni kwesimila somdlavuza.
Abacwaningi bathole ezinye izinto ezandisa le ngozi.
- Ubudala: Lo mdlavuza uvame ukutholakala kubantu abadala, abaneminyaka ephakathi kuka-60 no-70. Lokhu kungenzeka ngoba kuthatha isikhathi ukuthi izinguquko zofuzo ziqongelele.
- Umlando womndeni: Ngezinye izikhathi izimo zofuzo ezizuzwe kubazali zingandisa le ngozi. Ezinye zalezi zimo zifaka:
- I-Cystic Fibrosis
- I-Familial Adenomatous Polyposis (FAP)
- I-Peutz-Jeghers Syndrome (PJS)
- I-polyposis ehlobene ne-MUTYH
- I-Lynch Syndrome
- Ukudla: Ukudla inyama ebomvu kakhulu, ushukela, nama-carbohydrate acwengekile njengesinkwa ne-pasta, kanye nokudla imifino nezithelo ezincane kakhulu, nakho kungandisa ingozi.
- Ukubhema notshwala: Nakuba kungezona zonke izifundo ezivumelana ngalokhu, olunye ucwaningo lubonisa ukuthi ukubhema noma utshwala, noma kokubili, kungandisa ingozi yomdlavuza wamathumbu amancane.
- Ezinye izimila ezenzeka esibelethweni:Uma unesimila esingesona umdlavuza (esingesihle) noma amaqhubu amancane (ama-polyp) esibelethweni sakho, usengozini enkulu yokuba nomdlavuza lapho.
- Ezinye izifo zamathumbu: Abantu abanezifo zamathumbu njengesifo sikaCrohn, isifo samathumbu esivuvukalayo, kanye nesifo se-celiac bangase babe nengozi eyengeziwe kancane yalo mdlavuza.
Ziyini izimpawu? Uzibona kanjani?
Inkinga enkulu ngalo mdlavuza ukuthi izimpawu azicacile futhi kulula ukuzikhohlwa ezigabeni zokuqala. Ungase ungaboni noma yiziphi izinguquko kuze kube yilapho umdlavuza usukhule emzimbeni wakho izinyanga eziningi.
Into ebaluleke kakhulu ukuthi, ungesabi ukuthi unomdlavuza ngoba nje unesinye noma ezimbili zalezi zimpawu. Kodwa uma lezi zimpawu ziqhubeka, qiniseka ukuthi ubona udokotela ukuze akunike iseluleko.
Ake sibheke leli thebula ukuze siqonde lezi zimpawu ngokucacile.
| Isigaba sezimpawu | Incazelo |
|---|---|
| Izimpawu zokuqala |
|
| Izimpawu ezenzeka njengoba isifo siqhubeka |
|
Udokotela usithola kanjani lesi sifo ngqo?
Lo mdlavuza uvame ukutholakala ngemva kokuba lesi sifo sesisakazeke kancane. Lokhu kungenxa yokuthi izimpawu esixoxe ngazo ngenhla zingabangelwa nezinye izifo eziningi ezivamile.
Kodwa uma lo mdlavuza utholakala kusenesikhathi , ngaphambi kokuba usabalale, kunethuba elikhulu kakhulu lokwelashwa ngokuphelele. Yingakho kubalulekile ukuqaphela izimpawu.
Ukuze axilonge lesi sifo, udokotela wakho angase ancome ukuhlolwa okuningana, okufana nalokhu:
Ukuhlolwa Kwezithombe
- I-Endoscopy (i-Esophagogastroduodenoscopy): Kulokhu, kufakwa ipayipi elincane elinekhamera nokukhanya ngomlomo bese kuhlolwa umphimbo, isisu, kanye ne-duodenum.
- Ukuskena nge-ultrasound: Lokhu kusiza ukubona ukuthi iqhubu livuvukele yini nokuthi umdlavuza ususakazeke kangakanani.
- I-CT scan (i-Computed Tomography Scan): Lokhu kungase kungakwazi ukubona umdlavuza ngqo, kodwa kungabona izinto ezifana nokuvinjelwa okubangelwa yilesi simila futhi kubone ukuthi umdlavuza ususakazekele kwezinye izindawo.
Ukuhlolwa Kwelebhu
- I-Biopsy: Ngesikhathi sokuhlolwa kwe-endoscopy, kuthathwa ingxenye encane yezicubu endaweni esolisayo bese ihlolwa ukuze kuqinisekiswe ukuthi inomdlavuza yini.
- Ukuhlolwa kwegazi: Njengoba lo mdlavuza ungabangela i-anemia, kwenziwa ukubalwa kwegazi okuphelele ukuhlola inani lamaseli abomvu egazini. Ukuhlolwa kwegazi kwenziwa futhi ukuhlola ukuthi izitho zomzimba, njengesibindi nezinso, zisebenza kanjani.
Yiziphi izindlela zokwelapha?
Ukwelashwa okuyinhloko komdlavuza wesibeletho ukuhlinzwa .
- Inqubo Yokwenza I-Whipple: Lolu ukuhlinzwa okuvamile kakhulu. Kuhilela ukususa ikhanda le-pancreas, i-duodenum, ingxenye yesisu, i-gallbladder, kanye ne-bile duct. Lolu ukuhlinzwa okuyinkimbinkimbi ngandlela-thile.
- Ukususwa kwama-lymph node: Uma umdlavuza ususakazekele kuma-lymph node, ukususwa kwawo ngokuhlinzwa kwandisa amathuba okusinda kwesiguli.
- Ukuhlinzwa ukuze kuncishiswe izimpawu: Uma isiguli sizwa ubuhlungu obukhulu ngenxa yezinto ezifana nokuvaleka kwamathumbu, ukuhlinzwa kungenziwa ukuze kuncishiswe leso simo.
- Ukwelashwa ngamakhemikhali: Ngenxa yokuthi lo mdlavuza awuvamile, ukwelashwa ngamakhemikhali akuvamile ukusetshenziswa. Kodwa-ke, ucwaningo lubonisa ukuthi lokhu kwelashwa kungaba usizo ezimweni lapho ukuhlinzwa kungenzeki khona.
Izinto esingazenza ukunciphisa le ngozi
Ayikho indlela eqinisekisiwe yokuvimbela lo mdlavuza, kodwa kunezinto eziningana esingazenza ukuze sinciphise ingozi yethu yomdlavuza iyonke.
- Londoloza ukudla okunempilo: Yidla izithelo ezintsha, imifino, kanye nokusanhlamvu okuphelele. Izakhamzimba, amavithamini, kanye nama-antioxidants akulokhu kudla kusiza ekunciphiseni ingozi yomdlavuza.
- Vivinya umzimba futhi ugcine isisindo esinempilo: Ukugcina isisindo somzimba wakho siphansi ngangokunokwenzeka kungasiza ekuvikeleni cishe kuzo zonke izinhlobo zomdlavuza. Zama ukuthola okungenani imizuzu engama-30 yokuzivocavoca ngosuku, njengokuhamba ngokushesha, okukhulisa ukujuluka.
- Khuluma nodokotela wakho: Uma unesifo sofuzo esibangela ukukhula okuncane (ama-polyp) esibelethweni sakho, ukuhlinzwa kokususa lawo ma-polyp kungaba ngumqondo omuhle ukunciphisa ingozi yakho yokuthola umdlavuza esikhathini esizayo. Kungcono ukukhuluma nodokotela wakho ngalokhu bese wenza isinqumo.
Umlayezo Wokuya Nawe Ekhaya
- Umdlavuza we-duodenal umdlavuza ongavamile kakhulu, kodwa oyingozi kakhulu.
- Ungalokothi ungazinaki izimpawu ezifana nobuhlungu besisu obuqhubekayo, ukwehla kwesisindo okungachazeki, noma indle emnyama.
- Njenganoma yimuphi umdlavuza, ukutholakala kusenesikhathi kubaluleke kakhulu ukuze ukwelashwa kuphumelele.
- Uma uqhubeka nokuba nesibonakaliso esisodwa noma ngaphezulu esisolisayo, sicela ubone udokotela wakho ngaphandle kokwesaba noma ukulibala.
- Ukulondoloza indlela yokuphila enempilo (ukudla okuhle, ukuvivinya umzimba) kunganciphisa ingozi yezinhlobo eziningi zomdlavuza.
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